A nurse is teaching a parent of a 4-month-old infant who has developmental dysplasia of the hip and is prescribed a Pavlik harness. Which of the following instructions on the use of a Pavlik harness should the nurse include in the teaching?
"Avoid massaging the skin under the straps."
"Use lotion on the skin under the harness."
"Adjust the harness straps weekly."
"Place the diaper under the straps."
The Correct Answer is D
A. "Avoid massaging the skin under the straps." Gentle massage is recommended to promote circulation and prevent skin breakdown.
B. "Use lotion on the skin under the harness." Lotion or powders should be avoided because they can cause skin irritation and breakdown.
C. "Adjust the harness straps weekly." Only the healthcare provider should adjust the straps to ensure proper hip positioning.
D. "Place the diaper under the straps." This helps keep the harness clean and dry, preventing skin irritation and breakdown.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Offer your child foods that are low in calories." Children with cystic fibrosis (CF) require a high-calorie diet because their bodies have difficulty absorbing nutrients due to pancreatic insufficiency.
B. "Offer your child foods that are high in fat." A high-fat diet (35%-40% of total calories from fat) is recommended because fat malabsorption is common in CF, and they need additional fat to meet their energy needs.
C. "Offer your child foods that are high in vitamin C." While vitamin C is important, fat-soluble vitamins (A, D, E, and K) are the primary concern since CF patients struggle to absorb them.
D. "Offer your child foods that are low in protein." Children with CF require adequate protein intake to support growth and maintain muscle mass, so protein restriction is not recommended.
Correct Answer is D
Explanation
A. "Avoid massaging the skin under the straps." Gentle massage is recommended to promote circulation and prevent skin breakdown.
B. "Use lotion on the skin under the harness." Lotion or powders should be avoided because they can cause skin irritation and breakdown.
C. "Adjust the harness straps weekly." Only the healthcare provider should adjust the straps to ensure proper hip positioning.
D. "Place the diaper under the straps." This helps keep the harness clean and dry, preventing skin irritation and breakdown.
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